Jerry Carter III

Primary specialty

DentistTaxonomy code 122300000X

License

DN123194 Issued in GA

Practice address

615 Green St NW Ste 101
Gainesville, GA 30501-3378

Phone

(770) 532-2336

NPI assigned

Aug 7, 2023

Last updated

Aug 7, 2023By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Georgia Dental Professionals, PC

  • General Practice Dentistry
  • Gainesville, GA
  • NPI 1609998483
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1691366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691366400000",
    "number": "1043992217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 GREEN ST NW STE 101",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013378",
            "telephone_number": "770-532-2336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 GREEN ST NW STE 101",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305013378",
            "telephone_number": "770-532-2336"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARTER",
        "first_name": "JERRY",
        "name_suffix": "III",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-08-07",
        "last_updated": "2023-08-07",
        "certification_date": "2023-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "GA",
            "license": "DN123194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeniffer Carol Culbertson Carpinello, NP
• Rodolfo Bartolome Carrillo Sr., MD
• Amanda Elizabeth Carroll, PA
• Michael Carroll, M.D.
• Gennie Lynn Carter, DC
• Patricia Lorraine Carter, L.P.C.
• Patty Carter
• Shelby Lee Carter, FNP-C
• Stephanie A Carter, ANP
• Brian Dovard Cartledge, PT

• Dentist in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Dentist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.